晚年获得的照料与抑郁症状：自我年龄认知的重要性。
Receipt of care and depressive symptoms in later life: the importance of self-perceptions of aging.
机构信息
Correspondence should be addressed to Minyoung Kwak, Ewha Institute of Social Science, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul, 120-750, Korea. E-mail:
出版信息
J Gerontol B Psychol Sci Soc Sci. 2014 Mar;69(2):325-35. doi: 10.1093/geronb/gbt128. Epub 2014 Jan 13.
OBJECTIVES
This study examines the extent to which self-perceptions of aging and perceived loss of control explain the relationship between the receipt of care and depressive symptoms among older adults.
METHODS
The sample consists of individuals aged 51 and older from the 2006, 2008, and 2010 waves of the Health and Retirement Study (n = 5,938). Structural equation modeling was used to test an analytic model that focused on the mediating effects of self-perceptions of aging and perceived loss of control. The respondents' demographic and health characteristics and depressive symptoms at baseline were included as control variables.
RESULTS
The results indicated that self-perceptions of aging mediated the relationship between receipt of care and depressive symptoms. That is, older adults who received a greater amount of care perceive their aging more negatively, which, in turn, increased depressive symptoms 2 years later. However, perceived loss of control did not significantly mediate the relationship between the receipt of care and depressive symptoms.
DISCUSSION
These findings suggest that the receipt of care may make frail older adults more vulnerable to negative self-perceptions of aging.
目的
本研究旨在探讨自我衰老认知和感知控制丧失在多大程度上解释了老年人接受护理与抑郁症状之间的关系。
方法
该样本由来自 2006 年、2008 年和 2010 年健康与退休研究（n=5938）的 51 岁及以上人群组成。采用结构方程模型检验了一个重点关注自我衰老认知和感知控制丧失中介效应的分析模型。受访者的人口统计学和健康特征以及基线时的抑郁症状被纳入控制变量。
结果
结果表明，自我衰老认知中介了接受护理与抑郁症状之间的关系。也就是说，接受更多护理的老年人对衰老的看法更为消极，这反过来又导致他们在 2 年后出现更多的抑郁症状。然而，感知控制丧失并没有显著中介接受护理与抑郁症状之间的关系。
讨论
这些发现表明，接受护理可能使体弱的老年人更容易产生消极的自我衰老认知。
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